Some noses not only snore but have an additional problem.
Sleep apnea, according to Dr. Tedd Mitchell, president and medical director of Dallas' Cooper Clinic, is a serious medical condition.
In a column he writes called HealthSmart in USA Weekend, he states that this medical problem actually decreases airflow to the lungs due to airway obstruction.
He gives the following signs to look for:
Loud snoring that occurs regardless of position.
Breathing that stops for short periods during sleep.
Excessive daytime sleepiness.
Dr. Mitchell says this condition can be serious and does require an evaluation by a sleep medicine specialist.
Sleep apnea (apnea from the Greek, meaning "without breath") is
a sleep disorder characterized by frequent pauses in breathing
during sleep. There are three types of sleep apnea, obstructive,
central and mixed. Obstructive is the most common, it is caused
by anatomical blockage of the airway, and as such can often be
treated by sleep apnea surgery.
Sleep apnea surgery for obstructive sleep apnea consists of
several different types of procedures:
1. Uvulopalatopharyngoplasty or UPPP, is the most common sleep
apnea surgery for adults. The procedure enlarges the airway by
removing or shortening the uvula, (tissue that hangs from the
roof of the mouth at the back of the throat). The tonsils and
adenoids, if present, are also removed as well as part of the
soft palate (roof of the mouth).
2. Tonsillectomy and/oradenoidectomy is a sleep apnea surgery that removes the tonsilsand/or the adenoids, often the first treatment option forchildren because enlarged tonsils and adenoids are usually thecause of their sleep apnea.
3. Tracheotomy creates a hole in thewindpipe (trachea), and a tube is placed in the hole to allowair in. This sleep apnea surgery, the most effective, is usuallyreserved for serious apnea sufferers when other treatments havefailed. The site around the tube must be cleaned daily toprevent infection.
4. Septoplasy is a sleep apnea surgery that straightens a crooked septum (the partition between the nasal cavities).
5. Laser midline glossectomy and lingualplasty are types of sleep apnea surgery that remove a portion of the tongue.
6. Maxillomandibular osteotomy or advancement (MMO or
MMA) and two-part inferior sagittal mandibular osteotomy. are
types of sleep apnea surgery which help enlarge the airway by
moving the mandible (jaw) forward These surgeries have high
success rates, but last several hours, have a significant
recovery period, and potential complications.
7. A relatively new procedure for sleep apnea surgery, performed in the physician's office, is radio frequency ablation (RFTA), trade name SomnoplastyTM. Approved by the Food and Drug Administration(FDA) in 1998, it shrinks the size of the tongue and/ or palate. Multiple treatments may be required, and can be used along with other sleep apnea treatments.
8. The tongue suspension procedure (trade name Repose) is a different sleep apnea surgery procedure. Approved by the FDA in February 1998, this sleep apnea surgery is intended to keep the tongue from falling back over the airway by inserting a small screw into the lower jawbone and stitches below the tongue. Usually performed in conjunction with other procedures, this surgery is potentially reversible. No studies, however, on the long-term success are available, and little clinical data have been published to demonstrate the procedure's effectiveness.
When considering sleep apnea surgery, be aware that
effectiveness varies from person to person. Physicians who
perform sleep apnea surgery are most commonly otolaryngologists
(specializing in the ears, nose, and throat) and oral and
maxillofacial surgeons. Referrals to a surgeon may be obtained
through your family physician or through a sleep center.